Organization
COGENT HEALTHCARE OF ILLINOIS, LLC
Active
Organization
COGENT HEALTHCARE OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON GREENO MD (SOLE MEMBER)
(949) 399-6003
Entity
Organization
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(615) 377-5652
(888) 241-1404
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5652
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
04/15/2009
Last updated
04/17/2009
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